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NPI Code Detail

MEDICARE: TANYA RONNETTE SIMPSON

MEDICARE: TANYA RONNETTE SIMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker11586CT

General Provider Information

NPI Number : 1073476388
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA RONNETTE SIMPSON
Provider Business Mailing Address
First Line : 7 SPRING RD
Second Line :
City : PROSPECT
State : CT
Zip : 06712-1522
Country : US
Telephone Number : 203-228-7748
Fax Number :
Provider Business Practice Location Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 203-228-7748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ TANYA RONNETTE SIMPSON ” Practice Location

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